True Learning Therapy

Registration Form

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Primary Parent(s) Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Second Parent(s) Name

First Last

Second Parent(s) Email

Enter Email Confirm Email

What school does your player(s) go too(Required)

REM Learning Center

Lifted Academy

Practice at the Park - Group practices are by invite only

REM Learning Center(Required)

12 session $250 Uniform not included uniform kit sold separately

Price:

Lifted Academy(Required)

$60 a Month for one sport
Both Basketball and Soccer $100
Uniform so separately*

Practice at the Park(Required)

Group practices are by invite only

Total

Credit Card(Required)

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Player 's Name(Required)

First Last

Grade Level(Required)

Player 's Age(Required)

Second Player Name (Siblings Joining ONLY)

First Last

For More Information Reach us at 786-404-1649 or info@truelearningtherapy.com